Can one stop taking prolia after the first shot?

Posted by imatine @imatine, Mar 6, 2021

Hello everyone, my mom is 84 year old and she got osteoporosis since 8 years. She took prolia last October. She started to feel a lot of pain in her legs now. I am thinking she shouldn't take the 2nd shot but I am afraid of the consequences. Did anyone here stop the prolia at an early stage!? If so what happened? Thank you

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@janashelby

You have to go to a relay drug or risk vetebral fractures

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I stopped Prolia for about 6 months when I moved abroad
The result was active osteoporosis and fractured vertebrae
I am
Now back on it but thanks for advice about oral drug

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I stopped when my teeth started hurting after my first acceptance of Prolia!

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@artscaping

I stopped when my teeth started hurting after my first acceptance of Prolia!

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My Endocrinologist had me begin again with Fosamax on the first day of every week. I have had no negative symptoms.

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@lissee

How are you doing today? Did you ever have any rebound fractures later? I had one shot and I’m done. Need to decide if I need a relay or just get off cold turkey.

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Hi lessee, thank you for reaching out. I am doing well, although I have had some bilateral sacral fractures, which showed on MRI on 7/30/24. I really don't think it had anything to do with rebound from prolia...it would have happened a lot sooner. I haven't tried anything else. It seems I'm becoming allergic to just about everything in my old age. I'm due for dexa at end of November, so I'll know then, but don't have great expectations. I hope you find a better solution for yourself...be well!

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You can find numerous anecdotal experiences of people who stopped Prolia after one shot. Here's mine - I had one shot of Prolia in February 2023; didn't take any follow-up medication and haven't had any fractures. But with anecdotal information you are not accounting for differences in age (I'm 68), fracture history (so far none luckily), diet and exercise, test results, etc.

Would be best to get advice from a qualified endocrinologist who is familiar with your mother's history. You could also ask this question on Dr. Lani Simpson's facebook page: https://www.facebook.com/doctorlani/. She wrote 'No-Nonsense Bone Health Guide'.

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From everything i have read, stopping Prolia you must take something else or you will lose more than when you started. I listened to Dr. Susan Otten's 10 things your doctor needs to know about osteoporosis which is on Utube. She explained that Prolia doesn't kill osteoclasts but basically separates them into one cell nucleus called osteomorphs which just wait for the drug to stop and they quickly form back into osteoclasts and resorb bone at a very rapid rate. So your mother would need to start on something else right away. Lots of people get off Prolia and take Fosomax while they decide if there is another drug to try. But waiting isn't a good idea.

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@imatine

Dear @colleenyoung thank you so much for your help and suggestions. I would also ask, what are the risks she could have if she goes now to the dentist as she has a broken tooth root. I am so worried about her getting any dental work done now. I would ask why her gut is not absorbing the D3 pills she's taking?
If she should do any scans or so.

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As with any drug, there are pros and cons. When you read about the side effects of Prolia, you wonder if they are worth the risk. From reading the side effects, I see that when you stop Prolia, it looks very ominous. I am considering this very thing. I really would rather spend 5 good years rather than bone pain, which is common, and the risk of jaw problems. Of course, you must make an individual decision. Affording these drugs without insurance is insane.

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After 24 months of Forteo, I only took one shot of Prolia and had jaw pain, so then went on Raloxifene with no problems or fractures for 5 or so years. Now back on Forteo.

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I needed dental work before taking Prolia. Mandibular extraction. The dentists went the distance and did a wonderful job. My next Prolia injection was set for 1 month after the extraction. My primary orthopedist, thankfully, mentioned that I should put it off for two more months.

Not sure what I’ve gotten myself into but with osteoporosis I don’t have a choice. Now facing a third knee surgery on the same knee and later, TKA on the other. (Sorry to whine here.)

Thanks for sharing your story here.

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I would like to know as well...... I have had one shot and awaiting the tests. I'll have to make a decision at that time.

Has anyone had good or bad outcomes from stopping prolia?

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